1921年Hartmann提出位于直肠上端及乙状结肠的癌肿可将肿瘤及其近远端肠段切除,近端结肠作腹壁造口,位于腹腔内的直肠残端作关闭缝合,目的是为了预防感染和减低因感染而造成的死亡。以后Hartmann手术方法又扩大和应用于腹膜返折以下的直肠肿瘤.目前由于充分的术前肠道准备,各种抗生素的应用,直肠吻合器的推广,直肠上、中部位肿瘤切除后,近远端肠段一期吻 In 1921, Hartmann proposed that the cancer located in the upper rectum and sigmoid colon can remove the tumor and its proximal and distal bowel segments. The proximal colon serves as an abdominal stoma, and the rectal stump in the abdominal cavity is closed. The purpose is to prevent infection and reduce Death caused by infection. Later Hartmann’s surgical methods were expanded and applied to rectal tumors below the peritoneal fold. Currently due to adequate preoperative bowel preparation, application of various antibiotics, promotion of rectal staplers, and resection of upper and middle rectal tumors, Intestinal section kiss